How to Pay the Application Fee

The application fee must be paid electronically.

Important: If submitting a hardship request, it must be submitted with the enrollment application. It cannot be accepted separately.

To pay the application fee using the Provider Enrollment, Chain and Ownership System:

• Under "Helpful Links"
• Click on "Pay Application Fee"

Pay by electronic check, credit card or by debit from your checking or savings account.

Upon completion, save your payment confirmation receipt as proof of payment.

Related Content

• Federal Register Notice ‒ information about how the fee was calculated

Revised 6/24/2025